| NPI | 1932445889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE DOUCETTE Physical Therapist 952-955-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 9130) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |